Anest. intenziv. Med. 2008;19(1):16-18

Advances in mechanical ventilation in childrenIntensive Care Medicine

M. Fedora
Klinika dětská anesteziologie a resuscitace LF MU a FN Brno

Mechanical ventilation is a common intervention provided in paediatric intensive care units. The management of mechanical ventilation in paediatrics is guided by a limited number of paediatric trials along with the application of adult data. Mechanical ventilation with pressure limitation and low tidal volume has become customary in paediatric intensive care. High frequency oscillatory ventilation is considered a suitable method to 'open the lung' and certainly is a lung-protective approach. Further research of noninvasive ventilation, prone positioning, the surfactant and weaning support to assist the paediatric intensivists in the application of these therapies is warranted.

Keywords: children; mechanical ventilation

Published: February 1, 2008  Show citation

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Fedora M. Advances in mechanical ventilation in children. Anest. intenziv. Med. 2008;19(1):16-18.
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    References

    1. Randolph, A. G., Meert, K. L., O'Neil, M. E. et al. The feasibility of conducting clinical trials in infants and children with acute respiratory failure. Am. J. Respir.Crit. Care Med., 2003, 167, p. 1334-1340. Go to original source... Go to PubMed...
    2. Turner, D. A., Arnold, J. H. Insights in pediatric ventilation: timing of intubation, ventilatory strategies, and weaning. Current Opinion in Critical Care, 2007, 13, p. 57-63. Go to original source... Go to PubMed...
    3. Piastra, M., Antonelli, M., Caresta, E. et al. Noninvasive ventilation in childhood acute neuromuscular respiratory failure: a pilot study. Respiration, 2006, 16 (Epub ahead of print). Go to original source... Go to PubMed...
    4. Essouri, S., Nicot, F., Clement, A. et al. Noninvasive positive pressure ventilation in infants with upper airway obstruction: comparison of continuous and bilevel positive pressure. Intensive Care Med., 2005, 31, p. 574-580. Go to original source... Go to PubMed...
    5. Carroll, C. L., Schramm, C. M. Noninvasive positive pressure ventilation for the treatment of status asthmaticus in children. Ann. Allergy Asthma Immunol., 2006, 96, p. 454-459. Go to original source... Go to PubMed...
    6. Madden, B. P., Kariyawasam, H., Siddiqi, A. J. et al. Non-invasive ventilation in cystic fibrosis patients with acute or chronic respiratory failure. Eur. Respir. J., 2002, 19, p. 310-313. Go to original source... Go to PubMed...
    7. Villar, J., Kacmarek, R. M., Perez-Mendez, L. et al. A high positive endexpiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial.Crit. Care Med., 2006, 34, p. 1311-1318. Go to original source... Go to PubMed...
    8. Arnold, J. H., Hanson, J. H., Toro-Figuero, L. O. et al. Prospective, randomized comparison of high-frequency oscillatory ventilation and conventional mechanical ventilation in pediatric respiratory failure.Crit. Care Med., 1994, 22, p. 1530-1539. Go to original source... Go to PubMed...
    9. Mehta, S., Granton. J., MacDonald, R. J. et al. High-frequency oscillatory ventilation in adults: the Toronto experience. Chest, 2004, 126, p. 518-527. Go to original source... Go to PubMed...
    10. Dani, C., Bertini, G., Pezzati, M. et al. Effects of pressure support ventilation plus volume guarantee vs high-frequency oscillatory ventilation on lung inflammation in preterm infants. Pediatr. Pulmonol., 2006, 41, p. 242-249. Go to original source... Go to PubMed...
    11. Jaballah, N. B., Khaldi, A., Mnif, K. et al. High-frequency oscillatory ventilation in pediatric patients with acute respiratory failure. Pediatr. Crit. Care Med., 2006, 7, p. 362-367. Go to original source... Go to PubMed...
    12. Curley, M. A., Hibberd, P. L., Fineman, L. D. et al. Effect of prone positioning on clinical outcomes in children with acute lung injury: a randomized controlled trial. JAMA, 2005, 294, p. 229-237. Go to original source... Go to PubMed...
    13. Mancebo, J., Fernandez, R., Blanch, L. et al. A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am. J. Respir.Crit. Care Med., 2006, 173, p. 1233-1239. Go to original source... Go to PubMed...
    14. Spragg, R. G., Lewis, J. F., Walmrath, H. D. et al. Effect of recombinant surfactant protein C-based surfactant on the acute respiratory distress syndrome. N. Engl. J. Med., 2004, 351, p. 884-892. Go to original source... Go to PubMed...
    15. Willson, D. F., Thomas, N. J., Markovitz, B. P. et al. Effect of exogenous surfactant (calfactant) in pediatric acute lung injury: a randomized controlled trial. JAMA, 2005, 293, p. 470-476. Go to original source... Go to PubMed...
    16. Randolph, A. G., Wypij, D., Venkataraman, S. T. et al. Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children: a randomized controlled trial. JAMA, 2002, 288, p. 2561-2568. Go to original source... Go to PubMed...
    17. Schultz, T. R., Lin, R. J., Watzman, H. M. et al.Weaning children from mechanical ventilation: a prospective randomized trial of protocol-directed versus physician-directed weaning. Respir. Care, 2001, 46, p. 772-782.
    18. Restrepo, R. D., Fortenberry, J. D., Spainhour, C. et al. Protocol-driven ventilator management in children: comparison to nonprotocol care. J. Intensive Care Med., 2004, 19, p. 274-284. Go to original source... Go to PubMed...
    19. Baisch, S. D., Wheeler, W. B., Kurachek, S. C. et al. Extubation failure in pediatric intensive care incidence and outcomes. Pediatr. Crit. Care Med., 2005, 6, p. 312-318. Go to original source... Go to PubMed...
    20. Fontela, P. S., Piva, J. P., Garcia, P. C. et al. Risk factors for extubation failure in mechanically ventilated pediatric patients. Pediatr. Crit. Care Med., 2005, 6, p. 166-170. Go to original source... Go to PubMed...
    21. Randolph, A. G., Forbes, P. W., Gedeit, R. G. et al. Cumulative fluid intake minus output is not associated with ventilator weaning duration or extubation outcomes in children. Pediatr. Crit. Care Med., 2005, 6, p. 642-647. Go to original source... Go to PubMed...
    22. Foland, J. A., Super, D. M., Dahdah, N. S. et al. The use of the air leak test and corticosteroids in intubated children: a survey of pediatric critical care fellowship directors. Respir. Care, 2002, 47, p. 662-666. Go to PubMed...
    23. Mhanna, M. J., Zamel, Y. B., Tichy, C. M. et al. The 'air leak' test around the endotracheal tube, as a predictor of postextubation stridor, is age dependent in children. Crit. Care Med., 2002, 30, p. 2639-2643. Go to original source... Go to PubMed...
    24. Suominen, P., Taivainen, T., Tuominen, N. et al. Optimally fitted trachea tubes decrease the probability of postextubation adverse events in children undergoing general anesthesia. Paediatr. Anaesth., 2006, 16, p. 641-647. Go to original source... Go to PubMed...
    25. Lukkassen, I. M., Hassing, M. B., Markhorst, D. G. Dexamethasone reduces reintubation rate due to postextubation stridor in a high-risk paediatric population. Acta Paediatr., 2006, 95, p. 74-76. Go to original source... Go to PubMed...
    26. Cheng, K. C., Hou, C. C., Huang, H. C. et al. Intravenous injection of methylprednisolone reduces the incidence of postextubation stridor in intensive care unit patients. Crit. Care Med., 2006, 34, p. 1345-1350. Go to original source... Go to PubMed...

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